Bartholin gland cyst/marsupializat 56440 at Riverview Medical Center
1 Riverview Plaza, Red Bank, NJ · Hackensack Meridian Health · · NPI 1710499462
$3,519.29
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$5,424.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$378.46 with KARNA vs $10,715.00 with HORIZON — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| KARNA | MEDICARE ADVANTAGE | $378.46 | ↓ -89% |
| AETNA | MANAGED MEDICAID | $764.78 | ↓ -78% |
| CLOVER | MEDICARE ADVANTAGE | $976.32 | ↓ -72% |
| SEOUL MEDICAL GROUP | ALL PRODUCTS | $1,177.01 | ↓ -67% |
| UNITED HEALTHCARE | MANAGED MEDICAID | $1,189.00 | ↓ -66% |
| HORIZON | MANAGED MEDICAID | $1,339.00 | ↓ -62% |
| CIGNA | HMO | $3,140.00 | ↓ -11% |
| HORIZON | OMNIA | $3,459.43 | ↓ -2% |
| CIGNA | PPO | $3,514.00 | ↓ -0% |
| VACCN | ALL PRODUCTS | $3,519.29 | ↑ +0% |
| WELLCARE | MANAGED MEDICAID | $3,519.29 | ↑ +0% |
| WELLCARE | MEDICARE ADVANTAGE | $3,519.29 | ↑ +0% |
| HORIZON BCBS BRAVEN | MEDICARE ADVANTAGE | $3,519.29 | ↑ +0% |
| UNITED COMMUNITY/AMERICHOICE | MEDICARE ADVANTAGE | $3,695.26 | ↑ +5% |
| AETNA | MEDICARE ADVANTAGE | $3,836.03 | ↑ +9% |
| BERGEN RISK | ALL PRODUCTS | $4,068.00 | ↑ +16% |
| HORIZON | SHP | $4,173.77 | ↑ +19% |
| QUALCARE | PPO | $4,214.45 | ↑ +20% |
| UNITED HEALTHCARE | DSNP | $4,223.15 | ↑ +20% |
| AETNA | ASA | $4,246.99 | ↑ +21% |
| HORIZON | HMO | $4,278.99 | ↑ +22% |
| HORIZON | PIP | $4,279.54 | ↑ +22% |
| CIGNA | BH | $4,339.20 | ↑ +23% |
| HORIZON | INDEMNITY | $4,340.83 | ↑ +23% |
| HORIZON | PPO | $4,378.80 | ↑ +24% |
| MULTIPLAN - PHCS | ALL PRODUCTS | $4,610.40 | ↑ +31% |
| ACTIVECARE FIRST MCO | ALL PRODUCTS | $4,610.40 | ↑ +31% |
| AMERIHEALTH | LOCAL HMO | $4,690.68 | ↑ +33% |
| QUALCARE | WORKERS COMP | $4,773.12 | ↑ +36% |
| AMERIHEALTH | REGIONAL HMO | $5,312.81 | ↑ +51% |
| QUALCARE | HMO | $6,256.00 | ↑ +78% |
| OXFORD | ALL PRODUCTS | $8,268.00 | ↑ +135% |
| AETNA | HMO | $8,419.00 | ↑ +139% |
| AETNA | PPO | $8,419.00 | ↑ +139% |
| BRIGHTON HEALTH PLAN | ALL PRODUCTS | $9,933.00 | ↑ +182% |
| UNITED HEALTHCARE | HMO | $10,284.00 | ↑ +192% |
| HORIZON | WORKERS COMP | $10,715.00 | ↑ +204% |
| AMERIGROUP | MANAGED MEDICAID | not published by hospital | — |
Visitor-reported prices
Comments
Bartholin gland cyst/marsupializat 56440 at other New-jersey hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bayshore Medical Center | Holmdel | $3,519.29 | $3,519.29 – $4,223.15 |
| Hackensack University Medical Center | Hackensack | $3,744.41 | $390.43 – $3,931.63 |
| Ocean University Medical Center | Brick | $3,474.84 | $378.46 – $4,169.81 |
| JFK Johnson Rehabilitation Institute (JRI) | Edison | $3,522.35 | $161.12 – $3,522.35 |
| Jersey Shore University Medical Center | Neptune City | $3,519.29 | $378.46 – $4,223.15 |
| Palisades Medical Center | North Bergen | $3,744.41 | $390.43 – $4,081.40 |
| Raritan Bay Medical Center | Perth Amboy | $3,522.35 | $390.43 – $4,226.82 |
| Southern Ocean Medical Center | Manahawkin | $3,474.84 | $378.46 – $4,169.81 |